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Physiologic endpoints (efficacy) for acute renal failure studies

Murray, PT and Le Gall, JR and Miranda, DDR and Pinsky, MR and Tetta, C (2002) Physiologic endpoints (efficacy) for acute renal failure studies. Current Opinion in Critical Care, 8 (6). 519 - 525. ISSN 1070-5295

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Abstract

Acute renal failure research has been hampered by the lack of useful physiologic surrogate endpoints. Acute renal failure prevention and therapy studies using variables such as urine output and serum and urine chemistries have not yielded interventions proven to decrease the morbidity and mortality associated with acute renal dysfunction. Of those interventions that have been successful in smaller, phase II-level efficacy studies, none subsequently decreased the incidence of clinical (effectiveness) endpoints such as dialysis requirement or mortality in larger phase III trials. Suitable physiologic endpoints are needed to test the efficacy of new proposed therapies for the prevention and management of acute renal failure. Candidate endpoints for efficacy studies in acute renal failure prevention and management include glomerular filtration rate markers, renal blood flow, urine markers, and urine output. Possible endpoints for efficacy studies of renal replacement therapy in acute renal failure include serum markers of renal function and a variety of nonrenal markers. In this article, we present an approach to the choice of physiologic endpoints to determine the efficacy of interventions in acute renal failure. © 2002 Lippincott Williams & Wilkins, Inc.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Murray, PT
Le Gall, JR
Miranda, DDR
Pinsky, MRpinsky@pitt.eduPINSKY
Tetta, C
Date: 1 December 2002
Date Type: Publication
Journal or Publication Title: Current Opinion in Critical Care
Volume: 8
Number: 6
Page Range: 519 - 525
DOI or Unique Handle: 10.1097/00075198-200212000-00007
Schools and Programs: School of Medicine > Critical Care Medicine
Refereed: Yes
ISSN: 1070-5295
PubMed ID: 12454536
Date Deposited: 14 Jul 2012 20:54
Last Modified: 04 Feb 2019 15:57
URI: http://d-scholarship.pitt.edu/id/eprint/12247

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